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	<title>Psychworks.com &#187; Stress</title>
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	<link>http://www.psychworks.com</link>
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		<title>Success and Happiness. What comes first?</title>
		<link>http://www.psychworks.com/success-and-happiness-what-comes-first.htm</link>
		<comments>http://www.psychworks.com/success-and-happiness-what-comes-first.htm#comments</comments>
		<pubDate>Fri, 08 Jan 2010 13:07:04 +0000</pubDate>
		<dc:creator>ls</dc:creator>
				<category><![CDATA[Dating]]></category>
		<category><![CDATA[EAP]]></category>
		<category><![CDATA[Events]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[Services]]></category>
		<category><![CDATA[Stress]]></category>

		<guid isPermaLink="false">http://www.psychworks.com/?p=181</guid>
		<description><![CDATA[Many psychologies contend that happiness and success are two things strongly connected with each other. How often you see the reach man happier than poor one? Our social status, fortune, surroundings influence on our sense of happiness. People who have a high level of income live longer and feel themselves better. But what comes first, [...]]]></description>
			<content:encoded><![CDATA[<p>Many psychologies contend that happiness and success are two things strongly connected with each other.  How often you see the reach man happier than poor one?  Our social status, fortune, surroundings influence on our sense of happiness. People who have a high level of income live longer and feel themselves better. But what comes first, success or happiness? The answer for this question is pretty actual.<span id="more-181"></span><br />
<img src="/images/Success-and-Happiness.jpg" alt="Success and Happiness" /></p>
<p>Many people have an unwritten belief that success leads to happiness. This opinion is absolutely differs from the psychologists’ research proving that happiness helps us to become successful.  Many questionnaires and researches show that the person in a good mood can do many things leading to his own success:</p>
<ol>
<li>Feel healthier. The psychologist after many experiments say that people in a good mood are less given too pain. They prolong their lives in such a way.</li>
<li>Talk to other people. The people in a good mood talk to other with pleasure. He is always ready to help or just communicate. So many problems can be solved.</li>
<li>Practice different activities. Happy people like sports and active vacations.</li>
<li>Help others. If you feel yourself happy you are always ready to help someone, to make him happier too.</li>
<li>Be more creative. The ideas of people in a positive mood are as a rule more creative and flexible. They work in a team more effectively and solve the problems easily.</li>
<li>Resolve conflicts. People in a good mood didn’t interpret the conflicts as too complicated situation. They can find the way out without any problems.</li>
<li>Attribute success to their own skills. Good moods improve people&#8217;s self-efficacy.</li>
</ol>
<p>Analyzing all these items you see that happy people implement their good features. Their skills are more evident for others. So being in good mood is a guarantee of success.<br />
But how we can become happier if we have some problems and don’t feel so? It’s simple! First convict yourself that happiness will lead you to success. Believe in it and it will for sure. The second step is lifestyle and atmosphere where you live. Make your room more positive, open the windows often. Make your surroundings happier. Practice sports or other activities, create the hobby and share you interests with other people. After it you’ll feel better and happier that will help you to each success.</p>
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		</item>
		<item>
		<title>What Dreams May Come</title>
		<link>http://www.psychworks.com/what-dreams-may-come.htm</link>
		<comments>http://www.psychworks.com/what-dreams-may-come.htm#comments</comments>
		<pubDate>Tue, 22 Dec 2009 08:06:07 +0000</pubDate>
		<dc:creator>ls</dc:creator>
				<category><![CDATA[Movie]]></category>
		<category><![CDATA[Stress]]></category>

		<guid isPermaLink="false">http://www.psychworks.com/?p=169</guid>
		<description><![CDATA[“What Dreams May Come” is a wonderful movie being the best in its genre. This movie takes the fist place in many ratings of psychological movies. This story reflects people’s feelings, their perception of death, pain and grief. It paints the heaven and people’s souls there. It recreates the depth of love. “What Dreams May [...]]]></description>
			<content:encoded><![CDATA[<p>“What Dreams May Come” is a wonderful movie being the best in its genre. This movie takes the fist place in many ratings of <a href="http://moviesoftheday.com/download-drama-movies/">psychological movies</a>. This story reflects people’s feelings, their perception of death, pain and grief. It paints the heaven and people’s souls there. It recreates the depth of love.<span id="more-169"></span></p>
<p><img src="/images/What-Dreams-May-Come-Poster.jpg" alt="What Dreams May Come Poster" /></p>
<p>“What Dreams May Come” stars Robin Williams and shows the soul’s experience after death. Chris Nielson, his children Ian and Marie die in the automobile accident. Some time later Chris finds himself in a heaven. This is a beautiful place full of flowers and blue water. He was a good and kind person so now he is here and will be happy for ever. To his great surprise Chris finds his children and dog here too. But life can’t be full and happy without one person…his wife. Chris loves her more than life and doesn’t know what to do to show her he still feels everything. His wife Annie that time suffers from loss. She is painter and tries to connect with her husband through pictures. She feels him; she knows he is still near. Annie can’t stand the pain and commits suicide. She goes to hell. And it seems the loving people will never meet. But Chris is game for anything to find his wife. He lives the heaven for hell&#8230;If you want to know the end of this touching story <a href="http://moviesoftheday.com/download-what-dreams-may-come-movie/">download “What Dreams May Come” movie</a>.</p>
<p><img src="/images/What-Dreams-May-Come-Photo.jpg" alt="What Dreams May Come Photo" /></p>
<p>“What   Dreams May Come” reflects people’s psychology and feelings. Debuting in 1998   it won Oscar for the best visual effects and got another 4 awards. This is an   amazing story telling us that “After life there is more. The end is just the beginning.”</p>
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		</item>
		<item>
		<title>Stress, how to deal with it</title>
		<link>http://www.psychworks.com/stress.htm</link>
		<comments>http://www.psychworks.com/stress.htm#comments</comments>
		<pubDate>Wed, 25 Nov 2009 10:45:28 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Stress]]></category>

		<guid isPermaLink="false">http://www.psychworks.com/?p=17</guid>
		<description><![CDATA[PsychWorks, Inc. provides an integrated approach to behavioral healthcare. Shrink Raps This page will highlight frequently asked questions on a particular subject, it will change quite often, so stop by now and then. STRESS FAQ&#8217;s Q: What is stress? A: Stress is the body’s natural response to demands. It is usually felt as an urgency [...]]]></description>
			<content:encoded><![CDATA[<p>PsychWorks, Inc. provides an integrated approach to behavioral  healthcare.<span id="more-17"></span></p>
<h2>Shrink Raps</h2>
<p>This page will highlight frequently asked questions on a particular subject,  it will change quite often, so stop by now and then.</p>
<h3>STRESS FAQ&#8217;s</h3>
<p><em>Q: What is stress?</em></p>
<p>A: Stress is the body’s  natural response to demands. It is usually felt as an urgency or tension. Three  common types of stress are:</p>
<ol>
<li>ordinary: waking up, getting to work</li>
<li>developmental: learning new things, taking on new challenges</li>
<li>unique: illness, family changes</li>
</ol>
<p><em>Q: Is it always bad?</em></p>
<p>A: Stress can take the  form of extra momentum and actually improve your performance at work or at home.  Stress often signals the release of hormones &#8212; adrenaline and hydrocortisone &#8212;  that tap your hidden energy reserves. &#8220;Positive stress&#8221; feels exciting and helps  you meet your challenges.</p>
<p><em>Q: What is negative stress?</em></p>
<p>A: Stress is most commonly  perceived as negative, and thus is called &#8220;distress&#8221;. Positive stress becomes  negative when a challenge become long term. &#8220;Negative stress&#8221; drains your energy  when dealing with job-related problems, financial woes, or the death of a loved  one.</p>
<p><em>Q: What causes stress?</em></p>
<p>A: Many circumstances at  home, at work, or in the environment can cause stress. Stress often stems from  facing too much responsibility or information; dealing with too many changes;  and being overloaded emotionally. The more stresses within a short time, the  greater the effect.</p>
<p><em>Q: What are the symptoms?</em></p>
<p>A: Physical: tightened  muscles, rising blood pressure, grinding teeth, clenched jaws, sleeplessness,  clammy hands, perspiration, upset stomach, fatigue. Emotional: anxiety,  nervousness, agitation, irritability, depressions, restlessness, nightmares,  confusion and drug abuse.</p>
<p><em>Q: Can stress make me sick?</em></p>
<p>A: Your response to stress  can make you sick. a majority of diseases are either related to or worsened by  stress. Stress can increase blood cholesterol and stomach acid. It is also  linked to ulcers, colitis, high blood pressure, strokes, heart problems,  migraine headaches, asthma, and skin disorders.</p>
<p><em>Q: How can I mange stress?</em></p>
<p>A: To manage stress, start  a &#8220;stress audit&#8221;:</p>
<ol>
<li>Keep a journal to record your stresses.</li>
<li>Identify problems.</li>
<li>List all possible ways to overcome them.</li>
<li>Choose your solutions.</li>
<li>Later, evaluate what worked and what can be improved</li>
<li>If stress overwhelms you, seek help from a professional.</li>
</ol>
]]></content:encoded>
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		</item>
		<item>
		<title>More on Stress</title>
		<link>http://www.psychworks.com/stressfaq.htm</link>
		<comments>http://www.psychworks.com/stressfaq.htm#comments</comments>
		<pubDate>Tue, 03 Nov 2009 10:46:14 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Stress]]></category>

		<guid isPermaLink="false">http://www.psychworks.com/?p=19</guid>
		<description><![CDATA[Stress F.A.Q.&#8217;s Table of Contents What is stress ? Is it always bad ? What is negative stress ? What causes stress ? What are the symptoms ? Can stress make me sick ? How can I manage stress ? What is stress ? Stress is the body’s natural response to demands. It is usually [...]]]></description>
			<content:encoded><![CDATA[<p>Stress F.A.Q.&#8217;s<span id="more-19"></span><br />
<img src="/images/docmug.gif" alt="Stress F.A.Q.'s" /></p>
<h2><a name="top">Table of Contents</a></h2>
<ol>
<li><a href="#how">What is stress ?</a></li>
<li><a href="#where">Is it always bad ? </a></li>
<li><a href="#why">What is negative stress ?</a></li>
<li><a href="#who">What causes stress ?</a></li>
<li><a href="#what">What are the symptoms ?</a></li>
<li><a href="#when">Can stress make me sick ?</a></li>
<li><a href="#top">How can I manage stress ?</a></li>
</ol>
<h3><a name="#how">What is stress ?</a></h3>
<p>Stress is the body’s natural response to demands. It is usually felt as an  urgency or tension. Three common types of stress are:</p>
<ol>
<li>ordinary: waking up, getting to work</li>
<li>developmental: learning new things, taking on new challenges</li>
<li>unique: illness, family changes</li>
</ol>
<p><a href="#top">Back to Top</a></p>
<h3><a name="#where">Is it always bad ?</a></h3>
<p>Stress can take the form of extra momentum and actually improve your  performance at work or at home. Stress often signals the release of hormones &#8212;  adrenaline and hydrocortisone &#8212; that tap your hidden energy reserves. &#8220;Positive  stress&#8221; feels exciting and helps you meet your challenges.<br />
<a href="#top">Back to Top</a></p>
<h3><a name="#why">What is negative stress  ?</a></h3>
<p>Stress is most commonly perceived as negative, and thus is called  &#8220;distress&#8221;. Positive stress becomes negative when a challenge become long term.  &#8220;Negative stress&#8221; drains your energy when dealing with job-related problems,  financial woes, or the death of a loved one.<br />
<a href="#top">Back  to Top</a></p>
<h3><a name="#who">What causes stress ?</a></h3>
<p>Many circumstances at home, at work, or in the environment can cause  stress. Stress often stems from facing too much responsibility or information;  dealing with too many changes; and being overloaded emotionally. The more  stresses within a short time, the greater the effect.<br />
<a href="#top">Back  to Top</a></p>
<h3><a name="#what">What are the symptoms  ?</a></h3>
<p>Physical: tightened muscles, rising blood pressure, grinding teeth,  clenched jaws, sleeplessness, clammy hands, perspiration, upset stomach,  fatigue. Emotional: anxiety, nervousness, agitation, irritability, depressions,  restlessness, nightmares, confusion and drug abuse.<br />
<a href="#top">Back  to Top</a></p>
<h3><a name="#when">Can stress make me sick  ?</a></h3>
<p>Your response to stress can make you sick. a majority of diseases are  either related to or worsened by stress. Stress can increase blood cholesterol  and stomach acid. It is also linked to ulcers, colitis, high blood pressure,  strokes, heart problems, migraine headaches, asthma, and skin disorders.<br />
<a href="#top">Back  to Top</a></p>
<h3><a name="#top">How can I manage stress? </a></h3>
<p>To manage stress, start a &#8220;stress audit&#8221;:</p>
<ol>
<li>Keep a journal to record your stresses.</li>
<li>Identify problems.</li>
<li>List all possible ways to overcome them.</li>
<li>Choose your solutions.</li>
<li>Later, evaluate what worked and what can be improved</li>
<li>If stress overwhelms you, seek help from a professional.</li>
</ol>
<p><a href="#top">Back  to Top</a></p>
]]></content:encoded>
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		</item>
		<item>
		<title>Alcohol Use Disorders</title>
		<link>http://www.psychworks.com/alcohol_use_disorder.htm</link>
		<comments>http://www.psychworks.com/alcohol_use_disorder.htm#comments</comments>
		<pubDate>Fri, 25 Sep 2009 10:47:49 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Events]]></category>
		<category><![CDATA[Stress]]></category>

		<guid isPermaLink="false">http://www.psychworks.com/?p=23</guid>
		<description><![CDATA[Understanding Alcohol Use Disorders and Their Treatment, Psychologists play a vital role For many people, drinking alcohol is nothing more than a pleasant way to relax. However, people with alcohol use disorders drink to excess, endangering both themselves and others. This question-and-answer fact sheet explains alcohol problems and how psychologists can help people recover. When [...]]]></description>
			<content:encoded><![CDATA[<p>Understanding  Alcohol Use Disorders and Their Treatment, Psychologists play a vital  role</p>
<p>For  many people, drinking alcohol is nothing more than a pleasant way to relax.  However, people with alcohol use disorders drink to excess, endangering both  themselves and others. This question-and-answer fact sheet explains alcohol  problems and how psychologists can help people recover.<span id="more-23"></span></p>
<ul>
<li><a href="#When">When does drinking become a problem? </a></li>
<li><a href="#What">What causes alcohol-related disorders?</a></li>
<li><a href="#How">How do alcohol-use disorders affect people?</a></li>
<li><a href="#Help">When should someone seek help?</a></li>
<li><a href="#Psychologist">How can a psychologist help?</a></li>
</ul>
<h2><a name="When">When does drinking  become a problem?</a></h2>
<p>For most adults, moderate alcohol use—no more than  two drinks a day for men and one for women and older people—is relatively  harmless. (A “drink” means 1.5 ounces of spirits, 5 ounces of wine, or 12 ounces  of beer, all of which contain 0.5 ounces of alcohol.) Moderate use, however,  lies at one end of a range that moves through alcohol abuse to alcohol  dependence:</p>
<p>Alcohol abuse is a  drinking pattern that results in significant and recurrent adverse consequences.  Alcohol abusers may fail to fulfill major school, work or family obligations.  They may have drinking-related legal problems, such as repeated arrests for  driving while intoxicated. They may have relationship problems related to their  drinking.</p>
<p>People with  alcoholism—technically known as alcohol dependence—have lost reliable control of  their alcohol use. It doesn’t matter what kind of alcohol someone drinks or even  how much: alcohol-dependent people are often unable to stop drinking once they  start. Alcohol dependence is characterized by tolerance (the need to drink more  to achieve the same “high”) and withdrawal symptoms if drinking is suddenly  stopped. Withdrawal symptoms may include nausea, sweating, restlessness,  irritability, tremors, hallucinations, and convulsions.</p>
<p>Although severe alcohol problems get the most  public attention, even mild to moderate problems cause substantial damage to  individuals, their families, and the community.</p>
<p>According to the National  Institute on Alcohol Abuse and Alcoholism (NIAAA), 1 in 13 American adults is an  alcohol abuser or alcoholic at any given time. A 1997 government survey revealed  that drinking problems are also common among younger Americans. For example,  almost 5 million youths aged 12 to 20 engage in binge drinking, which involves  females consuming at least four drinks on a single occasion and males at least  five.</p>
<h2><a name="What">What causes alcohol-related  disorders?</a></h2>
<p>Problem drinking has multiple causes, with genetic,  physiological, psychological and social factors all playing a role. Not every  individual is equally affected by each cause. For some alcohol abusers,  psychological traits such as impulsiveness, low self-esteem, and a need for  approval prompt inappropriate drinking. Some individuals drink to cope with or  “medicate” emotional problems. Social and environmental factors such as peer  pressure and the easy availability of alcohol can play key roles. Poverty and  physical or sexual abuse increase the odds of developing alcohol  dependence.</p>
<p>Genetic factors make some people especially vulnerable to  alcohol dependence. Contrary to myth, being able to “hold your liquor” means  you’re probably more at risk—not less—for alcohol problems. Yet a family history  of alcohol problems doesn’t mean that children of those with alcohol problems  will automatically grow up to have these problems—nor does the absence of family  drinking problems necessarily protect children from developing these  problems.</p>
<p>Once people begin drinking excessively, the problem can  perpetuate itself. Heavy drinking can cause physiological changes that make more  drinking the only way to avoid discomfort. Individuals with alcohol dependence  may drink partly to reduce or avoid withdrawal symptoms.</p>
<h2><a name="How">How do alcohol-use disorders affect people?</a></h2>
<p>While some  research suggests that small amounts of alcohol may have beneficial  cardiovascular effects, there is widespread agreement that heavier drinking can  lead to health problems. In fact, 100,000 Americans die from alcohol-related  causes each year. Short-term effects include memory loss, hangovers, and  blackouts. Long-term problems associated with heavy drinking include stomach  ailments, heart problems, cancer, brain damage, serious memory loss, and liver  cirrhosis. Heavy drinkers also markedly increase their chances of dying from  automobile accidents, homicide, and suicide. Although men are much more likely  than women to develop alcoholism, women’s health suffers more, even at lower  levels of consumption.</p>
<p>Drinking problems also have a very negative  impact on mental health. Alcohol abuse and alcoholism can worsen existing  conditions such as depression or induce new problems such as serious memory  loss, depression, or anxiety.</p>
<p>Alcohol problems don’t just hurt the  drinker. According to NIAAA, more than half of Americans have at least one close  relative with a drinking problem. Spouses and children of heavy drinkers are  more likely to face family violence; children are more likely to suffer physical  and sexual abuse and neglect and to develop psychological problems. Women who  drink during pregnancy run a serious risk of damaging their fetuses. Relatives  and friends can be killed or injured in alcohol-related accidents and  assaults.</p>
<h2><a name="Help">When should someone seek  help?</a></h2>
<p>Individuals often hide their drinking or deny they have a  problem. How can you tell if you or someone you know is in trouble? Signs of a  possible problem include having friends or relatives express concern, being  annoyed when people criticize your drinking, feeling guilty about your drinking  and thinking that you should cut down but finding yourself unable to do so,  and/or needing a morning drink to steady your nerves or relieve a hangover.</p>
<p>Some people with drinking problems work hard to resolve them, and often,  with the support of family members and/or friends, these individuals are able to  recover on their own. However, those with alcohol dependence usually can’t stop  drinking through willpower alone. Many need outside help. They may need  medically supervised detoxification to avoid potentially life-threatening  withdrawal symptoms such as seizures. Once people are stabilized, they may need  help resolving psychological issues associated with problem drinking.</p>
<p>There are several approaches available for treating alcohol problems. No  one approach is best for all individuals.</p>
<h2><a name="Psychologist">How can a Mental Health Professional  help?</a></h2>
<p>Mental Health Professionals who are trained and  experienced in treating alcohol problems can be helpful in many ways. Before the  drinker seeks assistance, a psychologist can guide the family or others in  helping to increase the drinker’s motivation to change.</p>
<p>A Mental  Health Professional can begin with the drinker by assessing the types and  degrees of problems the drinker has experienced. The results of the assessment  can offer initial guidance to the drinker about what treatment to seek and help  motivate the problem drinker to get treatment. Individuals with drinking  problems definitely improve their chances of recovery by seeking help  early.</p>
<p>Using one or more of several types of psychological therapies, a Mental Health Professional can help people address psychological issues involved in their problem  drinking. A number of these therapies, including cognitive-behavioral coping  skills treatment and motivational enhancement therapy, were developed by  psychologists. Additional therapies include 12-Step facilitation approaches that  assist those with drinking problems in using self-help programs such as  Alcoholics Anonymous (AA). All three of these therapies—cognitive-behavioral  coping skills treatment, motivational enhancement therapy, and 12-Step  facilitation approaches—have demonstrated their effectiveness through  well-designed, large-scale treatment trials. These therapies can help people  boost their motivation to stop drinking, identify circumstances that trigger  drinking, learn new methods to cope with high-risk drinking situations, and  develop social support systems within their own communities.</p>
<p>Many  individuals with alcohol problems suffer from other mental health conditions,  such as severe anxiety and depression, at the same time. Psychologists can be  very helpful for diagnosing and treating these “co-occurring” psychological  conditions when they begin to create impairment. Further, a drinker in treatment  may receive services from many health professionals, and a psychologist may play  an important role in coordinating these services.</p>
<p>Mental Health professionals can also provide  marital, family, and group therapies, which often are helpful for repairing  interpersonal relationships and for long-term success in resolving problem  drinking. Family relationships influence drinking behavior, and these  relationships often change during an individual’s recovery. The Mental Health  professional can help the drinker and significant others navigate these  complex transitions, help families understand problem drinking and learn how to  support family members in recovery, and refer family members to self-help groups  such as Al-Anon and Alateen.</p>
<p>Because a person may experience one or more  relapses and return to problem drinking, it can be crucial to have an  appropriate health professional such as a trusted psychologist with whom that  person can discuss and learn from these events. If the drinker is unable to  resolve alcohol problems fully, a psychologist can help with reducing alcohol  use and minimizing problems.</p>
<p>Mental Health professionals can also  provide referrals to self-help groups. Even after formal treatment ends, many  people seek additional support through continued involvement in such  groups.</p>
<p>Alcohol-related disorders severely impair functioning and health.  But the prospects for successful long-term problem resolution are good for  people who seek help from appropriate sources. Psychologists are applying the  substantial knowledge they have to help people resolve alcohol problems, and  they are working to make treatment services available wherever needed.</p>
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		<item>
		<title>PTSD &#8211; Post Traumatic Stress Disorder</title>
		<link>http://www.psychworks.com/ptsdresponse.htm</link>
		<comments>http://www.psychworks.com/ptsdresponse.htm#comments</comments>
		<pubDate>Sun, 04 Jan 2009 10:42:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[Job]]></category>
		<category><![CDATA[Stress]]></category>

		<guid isPermaLink="false">http://www.psychworks.com/?p=9</guid>
		<description><![CDATA[FAQ: Stress Response to Traumatic Events Table of Contents What happens to people after a disaster or other traumatic event ? How do people respond differently over time ? How should I help myself and my family ? How do I take care of children&#8217;s special needs ? When should I seek professional help ? [...]]]></description>
			<content:encoded><![CDATA[<p>FAQ: Stress  Response to Traumatic Events<span id="more-9"></span></p>
<h2><a name="top">Table of Contents</a></h2>
<ol>
<li><a href="#how">What happens to people after a disaster or other  traumatic event ?</a></li>
<li><a href="#where">How do people respond differently over time  ?</a></li>
<li><a href="#why">How should I help myself and my family ?</a></li>
<li><a href="#who">How do I take care of children&#8217;s special needs  ?</a></li>
<li><a href="#what">When should I seek professional help ?</a></li>
<li><a href="#when">Resource links ?</a></li>
</ol>
<h3><a name="#how">What happens&#8230; ?</a></h3>
<p>Shock and denial are typical responses to disaster and other kinds of trauma,  especially shortly after the event. Both shock and denial are normal protective  reactions.<br />
Shock is a sudden and often intense disturbance of your emotional  state that may leave you feeling stunned or dazed. Denial involves your not  acknowledging that something very stressful has happened, or not experiencing  fully the intensity of the event. You may temporarily numb or disconnect from  life.<br />
As the initial shock subsides, reactions vary from person to person.  The following, however, are normal responses to a traumatic event:</p>
<ul>
<li>Feelings become intense and sometimes are unpredictable. You  may become more irritable than usual, and your moods may change back and forth  dramatically. You might be especially anxious or nervous, or even become  depressed.</li>
<li>Thoughts and behavior patterns are affected by the trauma.  You might have repeated and vivid memories of the event. These flashbacks may  occur for no apparent reason and may lead to physical reactions such as rapid  heart beat or sweating.<br />
You may find it difficult to concentrate or make  decisions, or become more easily confused. Sleep and eating patterns also may be  disrupted.</li>
<li>Recurring emotional reactions are common. Anniversaries of  the event, such as one month or one year, as well as reminders such as  aftershocks from earthquakes or the sounds of sirens, can trigger upsetting  memories of the traumatic experience. These &#8220;triggers&#8221; may be accompanied by  fears that the stressful event will be repeated.</li>
<li>Interpersonal relationships often become strained. Greater  conflict such as more frequent arguments with family members and coworkers, is  common. On the other hand, you might become withdrawn and isolated and avoid  yo0ur usual activities.</li>
<li>Physical symptoms may accompany the extreme stress. For  example, headaches, nausea and chest pain may result and may require medical  attention. Pre-existing medical conditions may worsen due to the stress.</li>
</ul>
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<h3><a name="#where">How do people respond over time ?</a></h3>
<p>It is important for you to realize that there is not one &#8220;standard&#8221; pattern  of reaction to the extreme stress of traumatic experiences. Some people respond  immediately, while others have delayed reactions &#8211; sometimes months or even  years later. Some have adverse effects for long periods of time, while others  recover rather quickly.<br />
And reactions can change over time. Some who have  suffered from trauma are energized initially by the event to help them with the  challenge of coping, only to later become discouraged or depressed.</p>
<p>A number of factors tend to affect the length of time required for recovery,  including:</p>
<ul>
<li>the degree of intensity and loss. Events that last  longer and pose a greater threat, and where loss of life or substantial loss of  property is involved, often take longer to resolve.</li>
<li>a person&#8217;s general ability to cope with emotionally  challenging situations. Individuals  who have handled other difficult,  stressful circumstances may well find it easier to cope with the trauma.</li>
<li>other stressful events preceding the traumatic experience. Individuals faced with other emotionally challenging  situations, such as serious health problems or family-related difficulties, may  have more intense reactions to the new stressful event and need more time to  recover.</li>
</ul>
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<h3><a name="#why">How should I&#8230; ?</a></h3>
<p>There are a number of steps you can take to help restore emotional well being  and a senses of control following a disaster or other traumatic experience,  including the following:</p>
<ul>
<li>Give yourself time to heal. Anticipate that this  will be a difficult time in your life. allow yourself to mourn the losses you  have experienced. Try to be patient with changed in your emotional state.</li>
<li>Ask for support from people who care about you and  who will listen and empathize with your situation. But keep in mind that your  typical support system may be weakened if those who are close to you also have  experienced or witnessed the trauma.<br />
Communicate your experience in whatever  ways feel comfortable to you &#8211; such as by talking with family or close friends,  or keeping a journal.</li>
<li>Find out about local support groups that often are  available such as for those who have suffered from natural disasters, or for  women who are victims of rape. these can be especially helpful for people with  limited personal support systems.<br />
Try to find groups led by appropriately  trained and experienced professionals. Group discussion can help people realize  that other individuals in the same circumstances often have similar reactions  and emotions.</li>
<li>Engage in healthy behaviors to enhance your  ability to cope with excessive stress. Eat well-balanced meals and get plenty of  rest. If you experience ongoing difficulties with sleep, you may be able to find  some relief through relaxation techniques. Avoid alcohol or drugs.</li>
<li>Establish or reestablish routines such as eating  meals at regular times and following an exercise program. Take some time off the  demands of daily life by pursuing hobbies or other enjoyable activities.</li>
<li>Avoid major life decisions such as switching  careers or jobs if possible because these activities tend to be highly  stressful.</li>
<li>Become knowledgeable about what to expect as a  result of trauma. Some of the &#8220;Additional Resources&#8221; listed may help you with  this learning process.</li>
</ul>
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<h3><a name="#who">How do I take care of children&#8217;s special needs ?</a></h3>
<p>The intense anxiety and fear that often follow a disaster or other traumatic  event can be especially troubling for children. Some may regress and demonstrate  younger behaviors such as thumb sucking or bed wetting. Children may be more  prone to nightmares and fear of sleeping alone. Performance in school may  suffer. Other changes in behavior patterns may include throwing tantrums more  frequently, or withdrawing and becoming more solitary.<br />
There are several  things parents and others who care for children can do to help alleviate the  emotional consequences of trauma, including the following:</p>
<ul>
<li> Spend more time with children and let then be more  dependent on you during the months following the trauma &#8211; for example,  allow your child to cling to you more often than usual. Physical affection is  very comforting to children who have experienced trauma.</li>
<li>Provide play experiences to help relieve tension. Younger children in particular may find it easier to share their ideas and  feelings about the event through non-verbal activities such as drawing.</li>
<li>Encourage older children to speak with you, and  with one another about their thoughts and feelings. This helps reduce their  confusion and anxiety related to the trauma. Respond to questions in terms they  can comprehend. Reassure them repeatedly that you care about them and that you  understand their fears and concerns.</li>
<li>Keep regular schedules for activities such as  eating, playing and going to bed to help restore a sense of security and  normalcy.</li>
</ul>
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<h3><a name="#what">When should I seek professional help  ?</a></h3>
<p>Some people are able to cope effectively with the emotional and physical  demands brought about by a natural disaster or other traumatic experience by  using their own support systems. It is not unusual, however, to find that  serious problems persist and continue to interfere with daily living. For  example, some may feel overwhelming nervousness or lingering sadness that  adversely affects job performance and interpersonal relationships.</p>
<p>Individuals with prolonged reactions that disrupt their daily  functioning should consult with a trained and experienced mental health  professional. Appropriately trained mental health providers help  educate people about normal responses to extreme stress. These professionals  work with individuals affected by trauma to help them find constructive ways of  dealing with the emotional impact.</p>
<p>With children, continual and aggressive emotional outbursts, serious  problems at school, preoccupation with the traumatic event, continued and  extreme withdrawal, and other signs of intense anxiety or emotional difficulties  all point to the need for professional assistance. A qualified mental  health professional can help such children and their parents understand and deal  with thoughts, feelings and behaviors that result from trauma.<br />
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<h3><a name="#when">Resources</a></h3>
<p>Local chapters of the American Red Cross may be able to direct you to  additional resources. Check your local telephone directory for the chapter  nearest you.</p>
<ul>
<li>National Association of Victims Assistance<br />
1757 Park Road, N.W. Washington  D.C. 20010<br />
Toll-free: 1.800.TRY-NOVA; in D.C. metropolitan area:  202.232.6682</li>
<li>&#8220;After Disaster: Steps You Can Take to Cope With a Stressful  Situation&#8221;,<br />
L.A. County Dept of Mental Health<br />
<a href="http://gladstone.uoregon.edu/%7Edvb/dissteps.htm">http://gladstone.uoregon.edu/~dvb/dissteps.htm</a></li>
<li>&#8220;Coping With Emotions After a Disaster&#8221;,<br />
University of Illinois  Cooperative Extension Service<br />
<a href="http://www.ag.uiuc.edu/%7Edisaster/emotion.htm">http://www.ag.uiuc.edu/~disaster/emotion.htm</a></li>
<li>&#8220;Helping Children Cope&#8221;<br />
<a href="http://www.apa.org/kids.html">http://www.apa.org/kids.html</a></li>
</ul>
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